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1811620420
JUSTIN D RUDD
MILLINGTON, TN
NPI
1811620420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5315)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-07-01
Last Update Date
2023-06-01
Business Address
JUSTIN D RUDD PA-C
8188 US HIGHWAY 51 N
MILLINGTON, TN 38053-1750
Phone number: 901-614-4455
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Mailing Address
JUSTIN D RUDD PA-C
8188 US HIGHWAY 51 N
MILLINGTON, TN 38053-1750
Phone number: 901-614-4455
Copy
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